CCH Rotation Info

CCH Rotation Requirements

1. Prepare
  • Download a copy of Ibook I Introduction to Bedside Ultrasound I, and Ibook Vol II Introduction to Bedside Ultrasound Vol II. A copy is also available for use on the Red Team conference computer.  
  • You can check out a copy of Dr. Cosby's book from Estella, or feel free to use the copy in the red team cabinet for additional reading. 
  • Review your pre-rotation numbers that were sent to you before your rotation. Pay particular attention to the applications you should have already completed in previous years.   
  • Review US Rotation Info prior to orientation. 
2. Orientation - Wednesday
  • 12:30 (following EM Conferences) on your first day, unless otherwise scheduled explicitly. Be prepared to meet with faculty and start scanning! Count on scanning 4 hours today.  
    3. Independent Study - Mixture of SonoSim modules, required reading.
    4. SCAN - Thursday, Friday and Monday
    • 24 hours of scan and q-path time required.
    • Residents must be present for assigned times according to CCH Weekly Schedule page, especially for CCH Ultrasound Scanning Sessions on the weekly schedule and google calendar below. 
    • Any conflicts with the schedule must be discussed in advance with the ultrasound faculty (Dr. Cosby and/or Dr. Rogers) and scan time made up on evenings or weekends within a reasonable timeframe to be agreed upon with us. 
    • Required minimum of 60 submitted scans for 1 week rotation. Ultimately only scans that are submitted, reviewed and found to be technically adequate and accurate (excluding false negatives and false positives) will count towards credentialing. 
      • Focus on applications according to your level of training: 
        • PGY1: eFAST, Renal, Gyne, Ob, Peripheral Venous Access
        • PGY2: Aorta, GB, Ob, DVT 
        • PGY3: Cardiac, Thoracic, Ocular, Ob, ST/MSK
        • PGY4: Advanced Echo, Ob (TV), Procedures
    • Tagging is no longer allowed for submitted scans unless specifically approved by US faculty or on Ob exams.  
      5. Find your great cases! 
      • All residents must identify two "portfolio" cases to pass the rotation. One must be your best normal images to demonstrate your best skill in image acquisition; the other must be an abnormal (Fast should demonstrate free fluid; renal should demonstrate hydro; gb should demonstrate stones; echo should demonstrate reduced EF). Feel free to bring other great cases to show off! 
        • EM1s - FAST
        • EM2s - Renal or Gallbladder
        • EM3s - Echo 
        • EM4s - Advanced Echo or TV Pelvic
      • All portfolio cases must be identified prior to image review and shared during the Tuesday academic time together. 
        6. Image Review and Presentations - Tuesday
        • Academic Teaching Time begins at 11. Plan to scan a few hours before and after.
        • All residents must be present and prepared for image review. We will review all portfolio images as a group. Make them good!! 
        • EM4s on rotation will be required to give a mini-talk on the topic of the day.
        • All residents will read the assigned reading for journal club discussion and be prepared to participate in our group discussion. 
        • Those finishing the rotation will then have a post-rotation eval and review of all required tests, write ups and the number of exams submitted. All of which need to be completed prior to image review.
        7.  Evaluation
        Course Evaluations will be based upon satisfactory completion of the following:
        • Pre- and Post- Rotation Scan Forms.
        • Completion of 60 technically adequate scans for each week on rotation, feedback confirmed on Q Path.
        • Presentation of your portfolio of "best normal" and one good "abnormal" scan 
        • Completion of assigned quizzes and Test
        • Mini-lecture for EM4
        • We welcome and encourage your participation throughout the year in other teaching venues and academic projects, including:  the resident workshops, US College events, Rush student labs, and intern orientation.  There are many opportunities for resident leadership. Talk to us to take advantage of these opportunities!  

        8. Help Us Help You! Please provide any feedback, questions or suggestions on anything Ultrasound.



        Rules to live by (while on ultrasound):

        Keep the Chair's "BMW" Looking Good During Your Rotation!

        To ensure that we are not spreading germs, please follow these simple US Machine Cleaning and Stocking guidelines here. 

        Always include clinical correlation on your Q-Path worksheets, and view and note results of any corresponding studies ordered and done in ED (CXR for thoracic scans and Echo, CTs and formal ultrasounds when done).  Studies without this will be considered technically limited and not given credit for credentialing.



        Key Links


        County Qpath

        County Gcal
        County Resources
        County New Innovations
        County Course Directors Grade Book



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